Lazo, Marcela A
Lazo, Marcela A is an individual health care provider with primary practice located at 4671 S Congress Ave Suite 100B, Lake Worth FL 33461-4783. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Lazo, Marcela A can be contacted via phone (561) 434-0111.Contact Information
Primary practice address
4671 S Congress Ave Suite 100B
Lake Worth FL 33461-4783
Phone: (561) 434-0111
Fax: (561) 296-3533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME110131 | Florida |
Profile Details
| NPI number | 1629262126 |
|---|---|
| LBN Legal business name | Lazo, Marcela A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Sep 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629262126 | NPPES |
| Florida | Other | LN461 | MEDICARE |
| Florida | Other | 14FW0 | MEDICARE |
| Florida | MEDICAID | 004197300 | MEDICARE |
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